HAROLD W FORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103750

License Status

INACTIVE

Business

First Name

HAROLD W

Last Name

FORD

Business Name

HAROLD W FORD

Original Issue Date

09/21/1962

Effective Date

09/21/1962

Expiration Date

05/31/1988

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

09/27/2006